Mercer-Burlington Unit Member Survey

Thank you for taking the time to provide your feedback! We are always looking for ways to improve our meetings and make them tailored to your needs as a member.

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1.Please indicate your first, second and third choices for days you would be most able to attend Unit meetings.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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2.Please choose your preference for meeting time.

6:00 - 7:30 PM

6:30 - 8:00 PM

7:00 - 8:30 PM

7:30 - 9:00 PM

10:00 AM - 12:00 PM

11:00 AM - 1:00 PM

12:00 -2:00 PM

Other (please specify)

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3.Please list topics you would like discussed at Unit Meetings.

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4.Please indicate if you know of free space to hold Unit Meetings that has enough seating for 30 people and ample parking. Please be sure to list the name of a contact person, phone number and email if you have it.

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5.Please Select the topics of interests

Private Practice

Non-Profit Management

Burn-out Avoidance

Seeking Supervision

Substance Abuse

Mental Health

Veterans

Criminal Justice

School Social Work

Families, Children, Couples

Geriatrics

Autism Spectrum

Medication Management

Other (please specify)

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6.Would you like to be on the Steering Committee?

* A Steering Committee consists of 6-10 Unit members who assist the Unit Leaders with planning and hosting Unit activities and events.* Provide event refreshments, assist in finding event locations and speakers, generate service projects ideas, contact new members, and PR.* The committee helps to engage Unit members and develop future leadership.

Yes

No

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7.Please add your contact information if you are interested in learning more about joining the steering committee!